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Literature review – has historically focused on ICU, but compelling enough to want to transfer outcomes to other areas if possible. Hard to determine one source of improvement when items are included in ‘bundles’

“effective horizontal infection prevention intervention that can have an impact on a variety of HAIs” – Rupp, et al (2012).

High-quality evidence suggested no benefit of preoperative bathing or showering with 4% CHG solution as compared to placebo. This was based no difference in SSI in both a meta-analysis (N=7791) of 4 RCTs94,95,97,99,100 and a meta-analysis (N=6302) restricted to only the 2 higher quality studies.94,95,99 Each individual trial found no difference.

High-quality evidence suggested no benefit of preoperative bathing or showering with 4% CHG solution as compared to un-medicated bar soap. This was based on no difference in SSI in a meta-analysis (N=1443) of 3 RCTs. 94,96-

Moderate-quality evidence suggested no benefit of preoperative showering with 4% CHG solution as compared to no wash. This was based on no difference in a meta-analysis (N=1142) of 3 RCTs. 94,98,100,101

Clinical practice guidelines recommend that patients shower or bathe with an antiseptic agent or soap on at least the night before surgery.12,234 They do not favor the use of one antiseptic agent in preference of another. There may be contraindications for specific antiseptic-agent use in some patients or surgical procedures.